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dc.contributor.authorLahtio, Heli
dc.contributor.authorHeinonen, Ari
dc.contributor.authorPaajanen, Teemu
dc.contributor.authorSjögren, Tuulikki
dc.date.accessioned2023-04-25T10:02:54Z
dc.date.available2023-04-25T10:02:54Z
dc.date.issued2023
dc.identifier.citationLahtio, H., Heinonen, A., Paajanen, T., & Sjögren, T. (2023). The Added Value of Remote Technology in Cardiac Rehabilitation on Physical Function, Anthropometrics, and Quality of Life : Cluster Randomized Controlled Trial. <i>Journal of Medical Internet Research</i>, <i>25</i>, Article e42455. <a href="https://doi.org/10.2196/42455" target="_blank">https://doi.org/10.2196/42455</a>
dc.identifier.otherCONVID_182862691
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/86579
dc.description.abstractBackground: Cardiovascular diseases (CVDs) cause most deaths globally and can reduce quality of life (QoL) of rehabilitees with cardiac disease. The risk factors of CVDs are physical inactivity and increased BMI. With physical activity, it is possible to prevent CVDs, improve QoL, and help maintain a healthy body mass. Current literature shows the possibilities of digitalization and advanced technology in supporting independent self-rehabilitation. However, the interpretation of the results is complicated owing to the studies’ high heterogeneity. In addition, the added value of this technology has not been studied well, especially in cardiac rehabilitation. Objective: We aimed to examine the effectiveness of added remote technology in cardiac rehabilitation on physical function, anthropometrics, and QoL in rehabilitees with CVD compared with conventional rehabilitation. Methods: Rehabilitees were cluster randomized into 3 remote technology intervention groups (n=29) and 3 reference groups (n=30). The reference group received conventional cardiac rehabilitation, and the remote technology intervention group received conventional cardiac rehabilitation with added remote technology, namely, the Movendos mCoach app and Fitbit charge accelerometer. The 12 months of rehabilitation consisted of three 5-day in-rehabilitation periods in the rehabilitation center. Between these periods were two 6-month self-rehabilitation periods. Outcome measurements included the 6-minute walk test, body mass, BMI, waist circumference, and World Health Organization QoL-BREF questionnaire at baseline and at 6 and 12 months. Between-group differences were assessed using 2-tailed t tests and Mann-Whitney U test. Within-group differences were analyzed using a paired samples t test or Wilcoxon signed-rank test. Results: Overall, 59 rehabilitees aged 41 to 66 years (mean age 60, SD 6 years; n=48, 81% men) were included in the study. Decrement in waist circumference (6 months: 1.6 cm; P=.04; 12 months: 3 cm; P<.001) and increment in self-assessed QoL were greater (environmental factors: 0.5; P=.02) in the remote technology intervention group than the reference group. Both groups achieved statistically significant improvements in the 6-minute walk test in both time frames (P=.01-.03). Additionally, the remote technology intervention group achieved statistically significant changes in the environmental domain at 0-6 months (P=.03) and waist circumference at both time frames (P=.01), and reference group achieve statistically significant changes in waist circumference at 0-6 months (P=.02). Conclusions: Remote cardiac rehabilitation added value to conventional cardiac rehabilitation in terms of waist circumference and QoL. The results were clinically small, but the findings suggest that adding remote technology to cardiac rehabilitation may increase beneficial health outcomes. There was some level of systematic error during rehabilitation intervention, and the sample size was relatively small. Therefore, care must be taken when generalizing the study results beyond the target population. To confirm assumptions of the added value of remote technology in rehabilitation interventions, more studies involving different rehabilitees with cardiac disease are required.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherJMIR Publications Inc.
dc.relation.ispartofseriesJournal of Medical Internet Research
dc.rightsCC BY 4.0
dc.subject.otherweight loss
dc.subject.othercardiac rehabilitation
dc.subject.otherremote technology
dc.subject.otherphysical function
dc.subject.other6-minute walk test
dc.subject.otheroverweight
dc.subject.otherobesity
dc.subject.otherbody mass
dc.subject.otherBMI
dc.subject.otherwaist circumference
dc.subject.otherquality of life
dc.subject.otherQoL
dc.subject.othermobile phone
dc.titleThe Added Value of Remote Technology in Cardiac Rehabilitation on Physical Function, Anthropometrics, and Quality of Life : Cluster Randomized Controlled Trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202304252690
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineSchool of Wellbeingen
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1439-4456
dc.relation.volume25
dc.type.versionpublishedVersion
dc.rights.copyright©Heli Lahtio, Ari Heinonen, Teemu Paajanen, Tuulikki Sjögren. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 12.04.2023
dc.rights.accesslevelopenAccessfi
dc.subject.ysoylipaino
dc.subject.ysoelämänlaatu
dc.subject.ysoteleterveydenhuolto
dc.subject.ysolaihdutus
dc.subject.ysokuntoutus
dc.subject.ysofyysinen toimintakyky
dc.subject.ysosydän- ja verisuonitaudit
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p826
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
jyx.subject.urihttp://www.yso.fi/onto/yso/p24515
jyx.subject.urihttp://www.yso.fi/onto/yso/p825
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p27172
jyx.subject.urihttp://www.yso.fi/onto/yso/p9886
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.2196/42455
jyx.fundinginformationThe authors would like to thank the Rehabilitation Center of Peurunka, all rehabilitees, and rehabilitation professionals. The authors also thank project researcher Heikki Kivistö for enabling this study. This study was supported by the Social Insurance Institute of Finland.
dc.type.okmA1


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